Hu L, Li HL, Li WF, Chen JM, Yang JT, Gu JJ, Xin L. Clinical significance of expression of proliferating cell nuclear antigen and E-cadherin in gastric carcinoma. World J Gastroenterol 2017; 23(20): 3721-3729 [PMID: 28611525 DOI: 10.3748/wjg.v23.i20.3721]
Corresponding Author of This Article
Hong-lang Li, MD, Chief physician, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Nanchang University, No. 1 Minde Road, East Lake District, Nanchang 330006, Jiangxi Province, China. lihonglang6802@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
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World J Gastroenterol. May 28, 2017; 23(20): 3721-3729 Published online May 28, 2017. doi: 10.3748/wjg.v23.i20.3721
Table 1 Proliferating cell nuclear antigen and E-cadherin labeling indexes in normal gastric tissues and diseased tissues
Tissue type
Number of cases
PCNA labeling index
E-cadherin labeling index
Normal gastric tissue
40
1.37 ± 0.32
22.34 ± 6.23
Intestinal metaplasia
38
11.53 ± 3.38
13.92 ± 4.34
Dysplasia
42
14.34 ± 4.71
7.84 ± 2.08
Gastric cancer
66
44.50 ± 9.85
1.68 ± 0.47
F-value
-
4.170
5.181
P-value
-
0.018
0.002
Comparison of gastric cancer and dysplasia
Q-value
-18.519
23.204
P-value
0.000
0.000
Table 2 Proliferating cell nuclear antigen and E-cadherin expression in the two groups
Group
No. of cases
PCNA
E-cadherin
-
+
++
+++
-
+
++
+++
Normal group
40
29
6
4
1
5
15
11
9
Gastric cancer group
66
16
11
17
22
45
11
7
3
Z-value
-
-5.231
-4.982
P-value
-
0.000
0.000
Table 3 Relationship between proliferating cell nuclear antigen and E-cadherin expression and clinicopathological characteristics of gastric cancer patients
Clinicopathological characteristic
No. of cases
PCNA
E-cadherin
Positive
P value
Positive
P value
Gender
0.073
0.340
Male
45
37
16
Female
21
13
5
Age (yr)
0.319
0.140
≥ 60
40
32
10
< 60
26
18
11
Lymph node metastasis
0.039
0.000
Yes
42
36
7
Non
24
14
14
Degree of differentiation
0.278
0.065
Medium and low differentiation
42
30
10
High differentiation
24
20
11
T stage
0.003
0.568
T1/T2
25
14
9
T3/T4
41
36
12
Table 4 Analysis of clinicopathological factors that influence the prognosis of patients with gastric cancer
Variable
Log-rank univariate analysis
Cox regression multivariate analysis
P value
P value
RR (95%CI)
Gender
0.285
-
-
Age
0.128
-
-
Lymph node metastasis
0.000
0.055
4.369 (0.967-19.733)
Degree of differentiation
0.268
-
-
T stage
0.004
0.000
17.556 (5.343-57.680)
PCNA
0.003
0.000
28.786 (5.088-162.853)
E-cadherin
0.021
0.005
0.174 (0.051-0.598)
Table 5 Evaluation of gastric cancer patient survival by proliferating cell nuclear antigen and E-cadherin
Indicators
Survival time <3 yr
Survival time >3 yr
Sensitivity
Specificity
Accuracy
PCNA
93.33%
38.89%
0.64
Positive
28
22
Negative
2
14
E-cadherin
80.0%
41.67%
0.59
Positive
6
15
Negative
24
21
The combination of both (PCNA[+] and E-cadherin[-])
80.0%
66.67%
0.73
Positive
24
12
Negative
6
24
Citation: Hu L, Li HL, Li WF, Chen JM, Yang JT, Gu JJ, Xin L. Clinical significance of expression of proliferating cell nuclear antigen and E-cadherin in gastric carcinoma. World J Gastroenterol 2017; 23(20): 3721-3729